Understanding PCOS: Symptoms, Impacts, and Management

With the enormous amount of information out there about polycystic ovary syndrome (PCOS), it can feel overwhelming to make sense of it all. You may wonder why one person with PCOS recommends a specific diet or exercise routine while another suggests something entirely different. Why do some remedies work for others but not for you? We're here to help clarify the noise and provide actionable insights into managing PCOS.

WHAT IS PCOS?

Polycystic ovary syndrome (PCOS) is a common health condition caused by an imbalance of reproductive hormones. While it was initially believed that PCOS always involves ovarian cysts, many individuals with PCOS do not develop cysts. Symptoms often emerge during puberty or when trying to conceive, but the exact cause remains unclear.

Symptoms often include (but are not limited to):

• Irregular menstrual cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.

• Too much hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3

• Acne on the face, chest, and upper back

• Thinning hair or hair loss on the scalp; male-pattern baldness

• Weight gain or difficulty losing weight

• Darkening of skin, particularly along neck creases, in the groin, and underneath breasts

• Skin tags, which are small excess flaps of skin in the armpits or neck area

Potential Complications:

PCOS can lead to serious health concerns such as infertility, gestational diabetes, metabolic syndrome, and even mental health issues like depression and anxiety. Addressing these complications early is crucial for long-term health.

PCOS and Mental Health

The intersection of PCOS with mental health is significant. Studies show that women with PCOS are at higher risk of experiencing depression, anxiety, and eating disorders due to hormonal imbalances and societal pressures35. Incorporating mental health care, such as therapy or counseling, is essential for managing these challenges holistically.

I Think I Have PCOS—Now What?

Find a Doctor

If you're experiencing symptoms of PCOS, consult a healthcare provider for an accurate diagnosis. Since PCOS is an exclusionary diagnosis, your doctor will rule out other conditions first. Look for a practitioner who adopts a "Health at Every Size" approach, ensuring that weight is treated as a symptom rather than the focus of treatment.

Advocate for Yourself

Finding the right doctor may take time. Ask questions like, "What advice would you give for managing PCOS symptoms in someone with a smaller body?" This ensures that treatment recommendations are inclusive and tailored to your needs.

Collaborate with a Dietitian

Diet plays an important role in managing PCOS symptoms. Instead of restrictive diets, work with a dietitian to identify food triggers and establish balance. For example, low glycemic index diets may help manage weight and improve insulin sensitivity5.

Lifestyle Modifications

Lifestyle changes such as regular exercise, mindfulness practices, and stress management can significantly improve symptoms. Incorporating activities like yoga or meditation helps reduce anxiety while promoting overall mental wellness35.

Body Image and Self-Esteem

PCOS often impacts self-esteem due to symptoms like weight gain or acne. Addressing body image issues through therapy can empower individuals to build confidence and improve their self-image35.

Holistic Care for PCOS

Managing PCOS requires a comprehensive approach that includes physical health care alongside emotional support. Counseling services tailored to mental health challenges like depression or social anxiety can help individuals navigate the complexities of living with this condition35.

Take Action Today

If you're feeling overwhelmed by your symptoms or struggling with mental health concerns related to PCOS, don't hesitate to seek help. Whether it's finding affordable therapy options in Tucson or exploring online counseling services, taking the first step toward healing is crucial.

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Ready to balance PCOS and nutrition, work with a dietitian that specializes in PCOS here.